Senior Manager, Payer Programs & Contracting (Value Based)
Walmart
Position Summary...
What you'll do...
We are seeking a dynamic Senior Manager to lead payer initiatives across the optical and pharmacy business units, focusing on value-based care, payer contracting, and payer partnerships. This role will drive growth by identifying new opportunities, managing high-impact implementations, and overseeing cross-functional teams to ensure operational excellence and business success. If you're a leader who excels in critical thinking, problem-solving, and driving strategic outcomes, this is the opportunity for you!
About the team:
The Payer Programs team is part of the broader Payer Relations team that supports the Health and Wellness business unit. Payer Programs works collaboratively with optical, pharmacy, and medical payers as well as vendors on value-based and payer contracting opportunities that deliver high-quality, cost-effective care that improves patient health.
What you'll do:
- Conduct ROI analysis to evaluate new opportunities, ensuring a thorough assessment of financial viability and strategic alignment, while effectively presenting findings and recommendations to senior leadership and cross-functional teams for informed decision-making.
- Develop and maintain strategic relationships with optical, pharmacy, and medical payers, as well as external vendors.
- Oversee contract negotiations and re-negotiations, streamlining implementation and post-implementation processes.
- Lead and manage a team of stakeholders to implement new initiatives as well as enhancements to existing initiatives, ensuring project success through effective planning, execution, and stakeholder engagement.
What you'll bring:
- Proven ability to develop and execute health and wellness strategies that result in measurable financial and operational outcomes.
- Expertise in navigating complex optical, pharmacy, and medical payer relationships, driving strategic partnerships and long-term growth.
- Analytical skill set for evaluating ROI, pricing strategies, and market opportunities, with the ability to quickly adapt and develop actionable plans.
- Track record of successfully negotiating contracts and streamlining post-implementation processes to maximize efficiency and maintain payer satisfaction.
- Strong leaderships skills in managing large-scale, cross-functional implementations with a focus on optimizing processes, budget control, and meeting defined objectives.
#LI-MF4
The above information has been designed to indicate the general nature and level of work performed in the role. It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities and qualifications required of employees assigned to this job. The full Job Description can be made available as part of the hiring process.
This position is based at our main corporate campus in Bentonville, Arkansas! We have an excellent relocation package to help you get here!
Learn more about what Bentonville has to offer:
At Walmart, we offer competitive pay as well as performance-based bonus awards and other great benefits for a happier mind, body, and wallet. Health benefits include medical, vision and dental coverage. Financial benefits include 401(k), stock purchase and company-paid life insurance. Paid time off benefits include PTO (including sick leave), parental leave, family care leave, bereavement, jury duty, and voting. Other benefits include short-term and long-term disability, company discounts, Military Leave Pay, adoption and surrogacy expense reimbursement, and more.
You will also receive PTO and/or PPTO that can be used for vacation, sick leave, holidays, or other purposes. The amount you receive depends on your job classification and length of employment. It will meet or exceed the requirements of paid sick leave laws, where applicable.
For information about PTO, see https://one.walmart.com/notices.
Live Better U is a Walmart-paid education benefit program for full-time and part-time associates in Walmart and Sam's Club facilities. Programs range from high school completion to bachelor's degrees, including English Language Learning and short-form certificates. Tuition, books, and fees are completely paid for by Walmart.
Eligibility requirements apply to some benefits and may depend on your job classification and length of employment. Benefits are subject to change and may be subject to a specific plan or program terms.
For information about benefits and eligibility, see One.Walmart.
The annual salary range for this position is $90,000.00-$180,000.00
Additional compensation includes annual or quarterly performance bonuses.
Additional compensation for certain positions may also include:
- Stock
Minimum Qualifications...
Outlined below are the required minimum qualifications for this position. If none are listed, there are no minimum qualifications.
Minimum Qualifications: Bachelor’s degree and 4 years’ experience in billing, healthcare, legal, or related area OR 6 years’ experience in billing, healthcare, legal, or related area. 1 years' supervisory experience.Preferred Qualifications...
Outlined below are the optional preferred qualifications for this position. If none are listed, there are no preferred qualifications.
Contract Management, Working in or with Pharmacy Benefit Management Masters: Finance, Masters: Healthcare
